Wyche T Coleman Jr. (NPI# 1710984513, PAC ID# 2668489378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1710984513 |
| PAC ID by PECOS | 2668489378 |
| Professional Enrollment ID | I20060323000042 |
| Full Name | Wyche T Coleman Jr. |
| Address |
1633 Marvel St Coushatta LA 71019-9022 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1979 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191312 | CHRISTUS COUSHATTA HEALTH CARE CENTER |
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| 190007 | NATCHITOCHES REGIONAL MEDICAL CENTER |
| 190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
| Address | Phone | Organization |
|---|---|---|
| 1633 Marvel St, Coushatta, LA 71019-9022 |
| Street Address |
1633 MARVEL ST |
| City | COUSHATTA |
| State | LA |
| Zip | 71019-9022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lavora C Babers Wilson | Nurse Practitioner | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Pamela T Gates | Nurse Practitioner | D Gregory Bell Md and Willis-knighton Medical Center | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Sean K Troxclair | Critical Care (intensivists) | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Christopher S Snead | Hematology/oncology | C H Wilkinson Physician Network | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Don Bell | Family Medicine | D Gregory Bell Md and Willis-knighton Medical Center | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Jeanette Tilley | Nurse Practitioner | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin F Chico | Internal Medicine | 1110 Ringgold Ave, Coushatta, LA 71019-9000 | |
| Joshua R Cason | Family Medicine | Christus Health Central Louisiana | 1635 Marvel St, Coushatta, LA 71019-9022 |
| Denise Rote-hintz | Certified Registered Nurse Anesthetist (crna) | Tandem Anesthesia LLC | 1635 Marvel St, Coushatta, LA 71019-9022 |
| Gentry Lee Haughton | Podiatry | 1635 Marvel St, Coushatta, LA 71019-9022 | |
| Sean J Hintz | Certified Registered Nurse Anesthetist (crna) | Tandem Anesthesia LLC | 1635 Marvel St, Coushatta, LA 71019-9022 |
| William R Wise | Emergency Medicine | Coushatta Er Physicians | 1635 Marvel St, Coushatta, LA 71019-9022 |
| Durward J Thomas | Optometry | 1902 Ringgold Ave, Coushatta, LA 71019-9089 |
| City | COUSHATTA |
| Zip Code | 71019 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | COUSHATTA + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Wyche T Coleman Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.